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A location survey, by a licensed surveyor, is required if your construction <br /> is within 10 feet of a setback line. <br /> • You will need to hire a surveyor to prepare a location survey to verify the construction location. <br /> • The survey shall be done at the time when foundations or basement walls are completed. <br /> • A location survey shall be submitted to the zoning office before continuing work on the project. <br /> • Note: A location survey may add significant cost to your project.Please contact a Wisconsin Licensed Land Surveyor. <br /> you may need this if . . . <br /> 33' 33' I I <br /> I <br /> • 1 Front Setback area S 72°57'40" E 254.01' Side Setback area <br /> 1 %/TJ %/� %/TT� I Rear <br /> r�/,// ��//////////////�i%%%i%%�i%%%i%%�ii%ii%//�� �a eteack <br /> O <br /> M �� 10 Feet / Z r co <br /> O Needs a W <br /> !HE:I!!! Location / W <br /> Q w I u) Survey Setback w <br /> 0 169.8' / Line >} <br /> O = Proposed O <br /> CCN Q Addition %% I O <br /> o) 35. �� I %/ N " <br /> O _A N <br /> F- <br /> 3,7� o o) <br /> co <br /> ._ <br /> _ ll�GGjLG%zGjLGjzll�ll�!l�l1GGILGj <br /> • 14 N 72°57'40" W • <br /> Side Setback area <br /> I <br /> 33' 33' I I <br /> / <br /> 1. I,the undersigned, hereby make application for a zoning permit only for the location and the work described herein and <br /> certify to the accuracy of that information. I further certify I am the property owner, or a duly authorized representative, <br /> and may sign this permit application on behalf of the owner(s)of said property, and I have read and understand all of <br /> me conditions of this permit and will construct the project in compliance with those conditions. I understand that failure <br /> to provide accurate information or to comply with any provisions of the permit renders it null and void and may result in an <br /> enforcement action. <br /> 2. I,the undersigned, hereby consent to the entry on the permitted premises by zoning inspectors of the Dane County <br /> Department of Planning &Development to determine compliance with the county's zoning ordinances.This consent is <br /> valid for the period commencing with issuance of this zoning permit and terminating with issuance of a certificate of <br /> compliance or until earlier revoked in writing by the owner of the property. <br /> PRINT: Owner/Agent DATE: <br /> \ v ( 1/—/S <br /> SIGNATU • Owner/Agent <br /> (..A-V ,/O----r <br />